Kyste hydatique du psoas : à propos de deux cas

Soufi, Mehdi; Lahlou, M.K.; Messrouri, R.; Benamr, S.; Essadel, A.; Mdaghri, J.; Mohammadine, E.; Taghy, A.; Settaf, A.; Chad, B.

doi:10.1016/s0221-0363(10)70194-3

Cited by 16 publications

(15 citation statements)

References 7 publications

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“…Soft tissue involvement is unusual, and it is reported in 0.5–4.7% of cases and mainly affects the skeletal muscles (2–3%) [ 3 ]. The infrequency of muscle localisation could be explained by the muscle contractions and lactic acid production, making difficult the implantation and development of the embryo [ 12 ]. The involvement of the psoas muscle is rare and is generally secondary to the rupture of splenic, hepatic or renal hydatid cysts.…”

Section: Discussionmentioning

confidence: 99%

Bilateral pulmonary hydatidosis associated with uncommon muscular localization

Messaoudi

Zayène

Ismail

et al. 2020

International Journal of Surgery Case Reports

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Highlights The lung is the second most commonly affected organ by hydatidosis, and the bilateral involvement is rare even in endemic regions. Management of bilateral pulmonary hydatid cyst is controversial. Some authors recommend operating bilateral cysts in two-stage surgery, with an interval of three to four weeks between procedures. The involvement of the psoas muscle is rare, its diagnosis is delayed as the latter is most of the time asymptomatic.

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Section: Discussionmentioning

confidence: 99%

Bilateral pulmonary hydatidosis associated with uncommon muscular localization

Messaoudi

Zayène

Ismail

et al. 2020

International Journal of Surgery Case Reports

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“…L'atteinte des tissus mous est inhabituelle, elle est décrite dans 0,5 à 4,7% des cas et intéresse principalement les muscles squelettiques du cou et des membres inférieurs. Celle-ci est due d'une part au degré de la vascularisation des tissus et aux contractions musculaires qui empêcheraient le développement de la larve et d'autre part à la richesse en acide lactique du muscle qui empêcherait la croissance de l'hydatide [ 3 ]. Le diagnostic de kyste hydatique du muscle psoas, souvent difficile, est celui d'une masse abdominale, à localisation iliaque ou lombaire, rénitente, fixée au plan profond.…”

Section: Discussionunclassified

“…Sa négativité n'élimine pas le diagnostic de kyste hydatique d'où l'obligation d'une confrontation entre la clinique, l'imagerie et la biologie. Notre observation illustre l'intérêt de la sérologie hydatique dans le diagnostic positif de cette parasitose, toutefois, il existe une proportion non négligeable de faux négatifs, variable en fonction de la localisation du kyste [ 3 ]. Pour améliorer le rapport sensibilité/spécificité, la plupart des auteurs préfèrent associer 2 techniques sérologiques, une quantitative: hémaglutination indirecte, immunofluorescence, ELISA et l'autre qualitative: immunoélectrophorèse, électrosynérèse [ 6 ].…”

Section: Discussionunclassified

Kyste hydatique du muscle psoas: à propos d’un cas

Alaoui¹,

Hjoui²,

Doumbia³

et al. 2016

Pan Afr Med J

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Le muscle psoas est une localisation exceptionnelle du kyste hydatique. Le but de cette lettre est de rapporter l'observation d'un kyste hydatique localisé au niveau du muscle psoas gauche chez un patient âgé de 32 ans. L'échographie, la tomodensitométrie ainsi qu'une sérologie hydatique positive ont contribué au diagnostic préopératoire. Le patient a été opéré par incision para rectale gauche type Jalaguier. L'examen microscopique du culot de centrifugation du liquide hydatique a mis en évidence des scolex et de nombreux crochets confirmant ainsi le diagnostic. L'évolution était bonne sans récidive après le traitement chirurgical.

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“…Eosinophilia is interesting only from a point of view of guiding the diagnosis, while the hydatid serology has an important false negative ratio [13]. …”

Section: Discussionmentioning

confidence: 99%

Unilateral primitive hydatid cyst with surgical resection of the scrotum: a case report

Bouchikhi¹,

Lamrani²,

Tazi³

et al. 2013

J Med Case Reports

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IntroductionHydatid disease remains a public health problem in many Mediterranean countries. Liver and lung localizations are the most common. Renal hydatid cysts represent 2 percent to 4 percent of the visceral forms of this disease. To the best of our knowledge a scrotal location has only previously been described in five papers in the literature, all being secondary localizations. In this paper, we report a case of a primitive scrotal hydatid cyst.Case presentationA Moroccan man aged 29 years old presented to our facility with scrotal pain. A clinical examination identified a painless scrotal mass. The results of a scrotal ultrasound showed intra-scrotal cystic formations with different sizes associated with scrotal effusion of average abundance. Chest cavity and abdominal computed tomography scans did not reveal any other localizations. Our patient benefited from surgical protruding dome resection. A partial cysto-pericystectomy was realized. The first stage consisted of injecting a scolicide solution; hydrogen peroxide is the most commonly used agent. This is injected into the cystic cavity and retained for 10 minutes. This process allows for sterilization of the cyst while avoiding the risk of rupture and transmission of the hydatid liquid into the circulation. After 10 minutes, the cystic contents are removed by suction. The cyst is then opened, and the endocyst containing the hydatid membrane and daughter vesicles are removed. It is of note that our patient did not receive any additional medical treatment. Our diagnosis was made using an imaging approach and was confirmed during surgery.ConclusionsUltrasound is often the key diagnostic approach for cases of a scrotal hydatid cyst. Treatment is primarily surgical, aiming for resection of the protruding dome via a longitudinal scrotectomy.

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Kyste hydatique du psoas : à propos de deux cas

Cited by 16 publications

References 7 publications

Bilateral pulmonary hydatidosis associated with uncommon muscular localization

Bilateral pulmonary hydatidosis associated with uncommon muscular localization

Kyste hydatique du muscle psoas: à propos d’un cas

Unilateral primitive hydatid cyst with surgical resection of the scrotum: a case report

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